481—58.14 (135C) Medical services.
	 58.14(1) Each resident in a nursing facility shall designate a licensed physician who may be called when needed. Professional management of a resident’s care shall be the responsibility of the hospice program when:
	  a.   	 The resident is terminally ill, and
	  b.   	 The resident has elected to receive hospice services under the federal Medicare program from a Medicare-certified hospice program, and
	  c.   	 The facility and the hospice program have entered into a written agreement under which the hospice program takes full responsibility for the professional management of hospice care.
	 58.14(2) Each resident admitted to a nursing facility shall have had a physical examination prior to admission. If the resident is admitted directly from a hospital, a copy of the hospital admission physical and discharge summary may be made part of the record in lieu of an additional physical examination. A record of the examination, signed by the physician, shall be a part of the resident’s record. (III)
	 58.14(3) Arrangements shall be made to have a physician available to furnish medical care in case of emergency. (II, III)
	 58.14(4) Rescinded, effective 7/14/82.
	 58.14(5) The person in charge shall immediately notify the physician of any accident, injury, or adverse change in the resident’s condition. (I, II, III)
	 58.14(6) A schedule listing the names and telephone numbers of the physicians shall be posted in each nursing station. (III)
	 58.14(7) Residents shall be admitted to a nursing facility only on a written order signed by a physician certifying that the individual being admitted requires no greater degree of nursing care than the facility is licensed to provide. (III)
	 58.14(8) Each resident shall be visited by or shall visit the resident’s physician at least twice a year. The year period shall be measured by the date of admission and is not to include preadmission physicals. (III) *
*Emergency, pursuant to Iowa Code section 17A.5(2)“b”(2).